Active NPI
Amanda Rose Watroba, PT
- Physical Therapist
- Elizabeth City, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- MP13
- Practice address
- 1401 London St
Elizabeth City, NC 27909-5614 - Phone
- (252) 261-1556
- NPI assigned
- Aug 25, 2016
- Last updated
- Jun 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL21959 | MA | |
| Physical Therapist | 225100000X | 303317 | CA | |
| Physical Therapist | 225100000X | MP13 | NC | Primary |
Addresses
Primary practice location
1401 London St
Elizabeth City, NC 27909-5614
Mailing address
2645 N 17TH St
Coos Bay, OR 97420-2134
Phone (541) 266-3658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Medical Dr
Elizabeth City, NC 27909-3361
Phone (252) 338-2114
3921 Cochran St
Simi Valley, CA 93063-2364
Phone (714) 915-2604
503 Cypress LN
Suite a
Manteo, NC 27954-8016
Phone (252) 473-9633
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL21959 | MA | MD | Physical Therapist |
| MP13 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Rehabilitation Inc | Physical Therapist | Current | Accepting new patients |
| Sand Coast Rehab Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Camarillo Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Coastal Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
| Camarillo Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
4000 Calle Tecate
Ste 117
Camarillo, CA 93012
Phone (805) 383-0470
3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403
1200 Cypress Point Ln
Ventura, CA 93003
Phone (805) 650-8000
850 Hampshire Rd
Ste Ab
Westlake Village, CA 91361
Phone (805) 383-0470
101 Medical Dr
Elizabeth Cty, NC 27909
Phone (252) 338-2114
503 Cypress Ln
#A
Manteo, NC 27954
Phone (252) 338-2114
400 Route 70
Lakewood, NJ 08701
Phone (440) 263-9228
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Elizabeth City, NC
- NPI 1457418311
-
- Physical Therapist
- Camarillo, CA
- NPI 1881451045
-
- Physical Therapist
- Manteo, NC
- NPI 1346466430
-
- Physical Therapist
- Camarillo, CA
- NPI 1710411269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1417402934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 N 17TH ST",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202134",
"telephone_number": "541-266-3658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 LONDON ST",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279095614",
"telephone_number": "252-261-1556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATROBA",
"first_name": "AMANDA",
"middle_name": "ROSE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-25",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "PTL21959",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "303317",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "MP13",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.